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460 Termination Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print In Ink. Statement covers period 1/01/2006 from SEE INSTRUCTIONS ON REVERSE 6/30/2006 through 1. Type of Recipient Committee: All Committees - Completa Parts 1, 2,3, and 4- Ii2I Officeholder, Candidate Controlled Committee 0 Primarily Formed Ballot Measure o State Candidate Election Committee Committee o Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee o Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER 1279538 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 3. Committee Information Citizens for Orrin Mahoney STREET ADDRESS (NO P.O. BOX) 10940 Miramonte Road CITY STATE ZIP CODE Cupertino CA 95014 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX P.O. Box 1523 AREA CODE/PHONE 408-725-1767 CITY Cupertino OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE CA 95014 AREA CODE/PHONE 11/08/2006 Date of election If app (Month, Day, Year or Official Use Only 2. Type of Statement: o Preelection Statement o Semi-annual Statement Ii2I Termination Statement (Also file a Form 410 Termination) o Amendment (Explain below) o Quarterly Statement o Special Odd-Year Report o Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Carolyn Krizek-Mahoney MAILING ADDRESS 10940 Miramonte Road CITY STATE ZIP CODE Cupertino CA 95014 NAME OF ASSISTANT TREASURER, IF ANY AREA CODE/PHONE 408-725-1767 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the laws of the State of California that the foregoing is true and correct. Executed on July 31, 2006 By DalI!I Executed on July 31, 2006 By DalI!I Executed on By DalI!I Executed on By DalI!I - )J Mt12l r, Candidala, Slste Measure Proponent Signature of Controlling omceholder, Candidala, Slste Measure Proponent FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK.FPPC (866/275-3772) State of California 'tYpe or print In Ink. Recipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Orrin Mahoney OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Cupertino City Council RESIDENTIALlBUSINESS ADDRESS (NO. AND STREET) CllY STATE ZIP 10940 Miramonte Road Cupertino, CA 95014 Related Committees Not Included in this Statement: List any committees not /ncluded /n this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES DNO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CllY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES DNO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CllY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION o SUPPORT o OPPOSE Identify the controlling officeholder, candIdate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Ust names of offlceho/der(s) or candldate(s) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8681ASK-FPPC (8681275-3772) Stala of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print In Ink. Amounts may be rounded to whole dollars. SUMMARY PAGE from through Statement covers period CALIFORNIA 460 FORM 1/01/2006 6/30/2006 3 of Page LD. NUMBER Contributions Received 1279538 1. Monetary Contributions ........................................... Schedule A, Une3 2. Loans Received "H"HH"H"'HHH"H"HH"H"HHHHHHH' Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ................H....... AddUnes 1 + 2 4. Nonmonetary Contributions HHHH..HHHHH...HHHH..... Schedule C, Une 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... AddUnes3+ 4 Column A TOTAl THIS PERIOD (FROM ATTACHED SCHEDUlES) $ 0.00 0.00 0.00 0.00 0.00 Column B CALENDAR YEAR TOTAL TO DATE $ 21,978.00 0.00 21,978.00 0.00 21,978.00 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date $ $ $ $ 20. Contributions Received $ 21. Expenditures Made $ $ $ Expenditures Made 6. Payments Made .H...HH..HH..HHHHH.HH....H................ Schedule E, Line 4 $ 7. Loans Made H....H.H.................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ......................HHH...H... AddUnes 6+ 7 $ 9. Accrued Expenses (Unpaid Bills) H.HHHH.....HH.........H Schedule F, Une3 10. Nonmonetary Adjustment ...H.HH.HHH.....H...H............. Schedule C, Une 3 11. TOTALEXPENDITURESMADE................................AddUnes8+9+ 10 $ 142.20 0.00 142.20 0.00 0.00 142.20 $ 21,978.00 0.00 21,978.00 0.00 0.00 21,978.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expendlture8 Made. (If Subject to VoI_ry Expendllunl UmIt) Date of Election (mm/ddlyy) Total to Date $ $ ----1----1_ $ Current Cash Statement 12. Beginning Cash Balance HHH"HH'HHH'H' Previous Summary Page, Une 16 $ 13. Cash Receipts ..H..HH..HHHHH...HH.H..H.H............ ColumnA, Une 3 above 14. Miscellaneous Increases to Cash ........................... Schedule I, Une 4 15. Cash Payments....................H........H...HH....HHH. ColumnA, Une8above 16. ENDING CASH BALANCE .......... AddUnes 12+ 13+ 14, /hensubtrectUne15 $ If this is a termination statement, Line 16 must be zero. 142.20 0.00 0.00 142.20 0.00 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Parl2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ...H........ ........................... See instructions on reverse $ 19. Outstanding Debts......................... AddLine2+Une9inColumnBaoove $ 0.00 0.00 ----1----1_ $ . Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule E Payments Made Type or print In Ink. Amounts may be rounded to whole dollars. SCHEDULE E from 1/01/2006 CALIFORNIA 460 FORM Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER Citizens for Orrin Mahoney through 6/30/2006 Paga 4 of I.D. NUMBER 1279538 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. eM=' campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL tv. or cable airtime and production costs AL candidate filinglballot fees PI-O phone banks TRC candidate travel, lodging, and meals FW fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals NJ independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads \IVEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ 4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, ColumnA, Line 6.) ............................. TOTAL $ 0.00 142.20 0.00 142.20 FPPC Form 460 (JanuaryIOS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)